Ryan M Frederick, LPC | |
515 Enterprise Dr 300, Lowell, AR 72745-8982 | |
(479) 717-7626 | |
(479) 717-7627 |
Full Name | Ryan M Frederick |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 515 Enterprise Dr 300, Lowell, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902096498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1509105 (Arkansas) | Primary |
Entity Name | Mercy Health Northwest Arkansas Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
Mailing Address | Practice Location Address |
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Ryan M Frederick, LPC 515 Enterprise Dr 300, Lowell, AR 72745-8982 Ph: (479) 717-7626 | Ryan M Frederick, LPC 515 Enterprise Dr 300, Lowell, AR 72745-8982 Ph: (479) 717-7626 |
Jacob Matthew White, MS LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 W Monroe Ave, Suite Q, Lowell, AR 72745 Phone: 479-320-7100 | |
Lindsey Anne Myers, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr Ste 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 | |
Erika Leticia Nielsen, LPC, LAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Enterprise Dr Ste 300, Lowell, AR 72745 Phone: 479-717-7626 | |
Heath Ray Bradley, LAC Counselor Medicare: Medicare Enrolled Practice Location: 515 Enterprise Dr Ste 300, Lowell, AR 72745 Phone: 479-717-7626 | |
Dr. Amy Michelle Adams, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 821 Paradise Pl, Lowell, AR 72745 Phone: 479-616-2280 Fax: 479-442-1779 | |
Cecelia Renee Collier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322d N Bloomington St, Lowell, AR 72745 Phone: 479-263-4948 | |
Adam Jacob Martin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2118 Sandpiper Ave, Lowell, AR 72745 Phone: 479-739-4410 |